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Water of Life Commitment Card
Way to go on taking the next step on your journey of faith!
Whether you are just entering into a relationship with Jesus, are renewing your commitment to follow Him, or are still searching, anytime you move closer to Jesus you do the wise and life-giving thing.
Name
*
First
Last
Email
*
Check one:
*
I surrendered my life to Jesus today
I am rededicating my life to Jesus today
I am searching and have questions about Jesus
Campus
*
Fontana
Online
Townsville, Australia
Upland
Would you like follow-up prayer from a Pastor?
Yes
No
Phone
*
###
-
###
-
####
Is this your cellphone?
Yes
No
Address
Street Address
City
State / Province / Region
Postal / Zip Code
Gender:
Male
Female
Date of Birth:
*
MM
/
DD
/
YYYY
Other Family Members Making A Commitment?
If others in your household made a commitment to follow Jesus, please add their names & ages in this box above.
